Individual
MRS. CLAUDIA VICTORIA CANO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
(404) 767-3926
Mailing address
1639 ACADEMY SQ, COLLEGE PARK, GA 30337-1404
(404) 766-2949
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN135756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972727A
—
GA
Enumeration date
05/25/2006
Last updated
04/09/2009
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